Cohere Health
Healthcare
PaymentTrainingManager
Neural analysis suggests this role is
optimal for Manager candidates.
“Payment Training Manager at Cohere Health. Skills: Payment training, Audit accuracy, Coding guidelines. Translate complex clinical and coding audit concepts into. Partner with QC Analyst to isolate systemic auditor”
What You'll Achieve.
Drive accuracy; Reduce variance; Maintain audit excellence; Improve quality; Improve productivity; Improve decision-making accuracy; Improve functionality; Improve audit efficiency
Industry & Context.
Isolate knowledge gaps; Remedial education updates; Targeted education
What They're Looking For.
Must Have
8+ years of overall experience in medical coding, claims auditing, payment integrity, or healthcare reimbursement, Expert knowledge of CPT, HCPCS, ICD-10-CM, modifiers, medical necessity, and reimbursement methodologies, Deep understanding of outpatient claims coding and auditing for Commercial, Marketplace, Medicare, and Medicaid lines of business, Hands-on experience reviewing programs such as HCD, DME, SNF, HH, E flexible spending and health savings account
Nice to Have
CCS credential
What You'll Do.
Translate complex clinical and coding audit concepts into
Partner with QC Analyst to isolate systemic auditor
Convert QC error trends into targeted
Work with Concept Developers to build training for
Conduct live virtual training sessions and workshops for
Measure training impact by tracking post-education QC accuracy
Build interactive training materials for both onboarding and
and actionable feedback to auditors
Drive adoption and effective utilization of Cohere Validate
Provide actionable feedback and enhancement recommendations to improve
Demonstrate flexibility in using integrated audit technologies
Stay ahead of industry trends
Adhere to HIPAA and company policies to ensure
How You'll Work.
Team & Collaboration
Partner with QC Analyst; Work with Concept Developers
Communication Scope
Actionable feedback
Full Job Description
Opportunity Overview: We are seeking a versatile and highly skilled Payment Training Manager to join our dynamic Payment Integrity team. This critical role translates Quality Control (QC) feedback and concept development insights into actionable high-impact training programs for our medical audit team to drive accuracy and reduce variance. Ideal candidates should possess a CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for detailed analytical auditing, play a key role in delivering accurate reimbursement solutions and maintaining audit excellence. The ideal candidate is self-motivated, thrives in a remote and fast-paced environment, and is committed to precision, compliance, productivity, and continuous learning within a high-growth organization. What You'll Do: Translate complex clinical and coding audit concepts into structured training modules. Partner with QC Analyst to isolate systemic auditor knowledge gaps. Convert QC error trends into targeted, remedial education updates. Work with Concept Developers to build training for new audit ideas. Conduct live virtual training sessions and workshops for auditing staff. Measure training impact by tracking post-education QC accuracy scores. Build interactive training materials for both onboarding and continuous learning. Provide clear, constructive, and actionable feedback to auditors to improve quality, productivity, and decision-making accuracy. Drive adoption and effective utilization of Cohere Validate, the internal audit support tool, while providing actionable feedback and enhancement recommendations to improve functionality and audit efficiency. Demonstrate flexibility in using integrated audit technologies, including Encoder, Grouper, and Pricer tools within the internal auditing platform. Stay ahead of industry trends, coding changes, and payment policy updates to maintain expert-level knowledge. Adhere to HIPAA and company policies to ensure data privacy, se
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